Pregabalin is a medicine used to treat epilepsy, fibromyalgia, pain caused by nerve damage, and in generalized anxiety disorder. It is commercially available in capsule, solution, and extended-release tablet. It is a gabapentinoid, and its mode of action is by blocking specific calcium channels.
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What could be the reason for intermittent shoulder pain?
Query: Hi doctor, I have intermittent shoulder pain, mostly in the areas where neck and shoulder meets and in the rotator cuff. This is for the last one year. I had neck pain, which subsided after some physiotherapy and still I have the shoulder pain issue. Earlier, I consulted a general physician and... Read Full »
Answer: Hi, Welcome to icliniq.com. This shoulder pain, which is resistant, is called trapezitis. It is an inflammation of the muscle fascia of the trapezius. General painkillers do not act on this, so you need to take specific medicines. I suggest the following medications. Consult your spec... Read Full »
I am a 26-year-old male experiencing numbness in the face and pain at the base of the skull. Please help.
Query: Hello doctor, I am 26 year old male non smoker and social drinker experiencing numbness in half of the face and just below the left jaw bone. There is no numbness or facial droop anywhere else in the body. Trying to prevent an emergency room. I have a history of anxiety disorder, panic attacks, gast... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. Since when you are having jaw numbness? Do you have any neck pain or history of neck trauma? Considering overall picture, it was unlikely to be a stroke. Firstly, it is less common for one to have stroke at this age group, and with less of ... Read Full »
How does my recent MRI report vary from the one taken eight years ago?
Query: Hello doctor, For the last eight years, I have had numbness in my toe, the one next to the big toe. Now, it slowly spread to just above the knee and in the area above the ankle below the knee on the right leg. There is no sciatic pain on either side. I have had mild diabetes for 10 years. My MRI res... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query, seen the attached pictures (attachment removed to protect patient identity), and understand your concerns about the compression of nerves and diffuse disc prolapse at the lower lumbar region. 1. Although you have not asked about the next line of... Read Full »
Are tingling in hands and legs due to carpal tunnel or ALS?
Query: Hello doctor, I have tingling in my hands for a few years, and now I am feeling tingling off and on in my feet and legs with occasional inner tremors. I had all my blood work done to test for diabetes, thyroid, vitamin deficiency, CMP and CBC all came back normal. I had an MRI of the brain that cam... Read Full »
Answer: Hi, Welcome to icliniq.com. These symptoms do not look like ALS (amyotrophic lateral sclerosis). Moreover, carpal tunnel syndrome (CTS) has been established in your reports. Anxiety and CTS are more than enough to cause these symptoms. So, my recommendation is that you should start on Pregabalin 7... Read Full »
How can severe radiating back pain be treated?
Query: Hello doctor, My 65-year-old grandmother has been suffering from chondrosis and she has had the treatment her doctor recommended her. However, the pain has returned. Her doctor told her to do some injections. Also, before that, she had a treatment where she did massages, ultrasound procedures but th... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. From what you have mentioned, most probably your mother has sciatica which means that there is a compression of the nerves of her legs. Sciatica causes back painthat moves to one of the legs sometimes both (electric like). It is diagnosed with some physical examinati... Read Full »
Query: Hello doctor, I am a 26 year old male. My height is 190 cm and weight is 85 kg. I do exercise with weights regularly. I have noticed that I have reduced feeling in the skin on my shaft. I cannot feel normal touch, but I can feel the pain if I pinch it with my nails. To best describe it; it feels li... Read Full »
Answer: Hi, Welcome to icliniq.com. This is a localized numbness that we are bothered with. Disease starting from this region without any other associated symptoms is quite rare and without them we may not think of a systemic pathology right away. Have you tried nerve tonics? I suggest back strengthenin... Read Full »
Query: Hello Doctor, I am a 39 year old male. My height is 6 feet and I weigh 81 kg. Right side of my left foot is having numbness though it is not 100% numb. The left side of the foot has little pain. I get a feeling that there is some blockage in the blood flow though it might not be the case. I am a reg... Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned numbness in the inner part of the left foot as your main symptom. Most commonly numbness is a manifestation of a nerve involvement, it can be compression of the nerve at an anatomical site like in back or anywhere along the course of the nerve or it ... Read Full »
Does opiate withdrawal cause nausea, low BP, muscle pain and urea smell?
Query: Hello doctor, I am a 40-year-old female recovering from eating disorder. My BMI is 16. I am suffering from clinical depression and GAD. I was diagnosed by a neurologist with migraines approximately two years ago, and have been on Lyrica 75 mg twice daily. Recently, I started having trouble swallowi... Read Full »
Answer: Hi,Welcome to icliniq.com.It is fine to stop Lyrica (Pregabalin). In my opinion, your symptoms could be related to a panic attack, probably caused by Topiramate adverse effects. Besides, as Topiramate can also cause kidney dysfunction. So, I strongly agree with your doctor on stopping it. On the oth... Read Full »
Query: Hi doctor, I had carpal tunnel, radial and ulnar nerve surgery. A tumor was removed from my elbow on the ulnar nerve. Then my two little fingers have no feeling and are completely curled in along with my thumb. For this my surgeon advised nerve transplant surgery. When I went for second opinion, not... Read Full »
Answer: Hi, Welcome to icliniq.com. Getting a tumor removed off the ulnar nerve from the elbow will take at least six months for the nerve to regenerate the sensations till down your little finger.Getting tingling and burning sensations are good as this is a sign of nerve regeneration.You should take medica... Read Full »
Why does my friend have numbness after hemilaminectomy surgery?
Query: Hello doctor, I am inquiring for a friend who underwent L4 - L5 hemilaminectomy surgery. He is recovering except for the persistent numbness, pins and needles and swelling in his left foot. It is more pronounced in the afternoon to evening. He is a teacher by profession. He has reported this to h... Read Full »
Answer: Hi, Welcome to icliniq.com. It sounds like your friend is bothered by the persistent tingling and numbness in his left foot. I understand these sensations can be quite irritating, especially if your work involves standing for long periods. Did he have these tingling sensations in the same are... Read Full »